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Individual

THAO T NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3911AVENUE B, STE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
Mailing address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-1111
(308) 630-1815

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3065
NE

Other

Enumeration date
04/09/2020
Last updated
09/19/2025
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